Organization Active NPI

Planned Parenthood of Hudson Peconic

  • Ambulatory Family Planning Facility
  • Pace, FL
National Provider Identifier
1154791333
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
ARNP9280320 Issued in FL
Legal business name
PLANNED PARENTHOOD OF HUDSON PECONIC
Practice address
4421 Bayou Ridge Dr
Pace, FL 32571-8649
Phone
(850) 776-4658
NPI assigned
Oct 1, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tawanda Williams
Title
Human Resources Generalist
Phone
(914) 467-7341

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X ARNP9280320 FL Primary
Community Health Clinic/Center 261QC1500X ARNP9280320 FL
Non-Surgical Family Planning Clinic/Center 261QF0050X ARNP9280320 FL

Addresses

Primary practice location

4421 Bayou Ridge Dr
Pace, FL 32571-8649

Mailing address

4421 Bayou Ridge Dr
Pace, FL 32571-8649
Phone (850) 776-4658

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Hudson Peconic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1154791333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 BAYOU RIDGE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718649",
            "telephone_number": "850-776-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 BAYOU RIDGE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718649",
            "telephone_number": "850-776-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF HUDSON PECONIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAWANDA",
        "authorized_official_title_or_position": "HUMAN RESOURCES GENERALIST",
        "authorized_official_telephone_number": "914-467-7341"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "FL",
            "license": "ARNP9280320",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "ARNP9280320",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "FL",
            "license": "ARNP9280320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.